Kelley, Elizabeth

Kelley, Elizabeth is an individual health care provider with primary practice located at 2 Springbrook Drive , Biddeford ME 04005. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelley, Elizabeth can be contacted via phone (207) 282-1500.

Contact Information

Primary practice address
2 Springbrook Drive Biddeford ME 04005
Phone: (207) 282-1500
Fax: (207) 282-7509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC12670 Maine

Profile Details

NPI number 1750487195
LBN Legal business name Kelley, Elizabeth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated May 17th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750487195 NPPES
Maine MEDICAID 276610099

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